Active NPI
Dr. Kenneth J. Adessa MD PC
- Internal Medicine Physician
- Parsippany, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA06454200
- Legal business name
- DR. KENNETH J. ADESSA MD PC
- Practice address
- 3699 US Highway 46
Parsippany, NJ 07054-1049 - Phone
- (973) 768-8105
- NPI assigned
- Mar 23, 2007
- Last updated
- Jan 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth John Adessa, MD
- Title
- President
- Phone
- (973) 768-8105
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA06454200 | NJ | Primary |
Addresses
Primary practice location
3699 US Highway 46
Parsippany, NJ 07054-1049
Mailing address
PO Box 1285
Sparta, NJ 07871-5285
Phone (973) 768-8105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7780508 | Medicaid | NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D1019292 | Kenneth Adessa MD | Certificate of waiver | Nov 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
3699 US Highway 46
Parsippany, NJ 07054
Phone (973) 334-0224
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Parsippany, NJ
- NPI 1750348520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704153600000",
"number": "1609993906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1285",
"city": "SPARTA",
"state": "NJ",
"postal_code": "078715285",
"telephone_number": "973-768-8105",
"fax_number": "973-827-7413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3699 US HIGHWAY 46",
"city": "PARSIPPANY",
"state": "NJ",
"postal_code": "070541049",
"telephone_number": "973-768-8105"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. KENNETH J. ADESSA MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-23",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A",
"authorized_official_last_name": "ADESSA",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-768-8105",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA06454200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7780508",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parsippany, NJ
- Mary Kuykendall Dowds, BCBA
- DPMP Group Inc (Raincross Pharmacy)
- Dr. Andy Chiropractic Center, LLC
- Dr. David Ulanet & Associates
- Dr. Gorky F. Massache, D.C., P.C. (Parsippany Chiropractic Center)
- Drayer Physical Therapy of New Jersey LLC
- Dana Dresser
- Drug Fair Group, Inc. (Drug Fair of Parsippany)
- Stephanie Druziako, RD
- Maria Dubas, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.